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HomeMy WebLinkAboutDriveway Street Cut Permits 8 Arrowwood i y 800059 TOWN OF SOUTH WINDSOR CT PERMIT NUMBER STREET CUT PERMIT DATE: ":r> OS/02/08 GIS ID: 05100008 FEE: 25.00 MUNIS APPLICATION# 200800595 ;•� „.:;••,. ::. <:.> :: <:. ATION DATE: OS/02/09 .:.::.:..::. APPLICAN' LOCATION NAME: M&S PAVING AND S• "`"Ntr'.IIIC F::. ? E $': 2I2OW?VOOD CIRCLE SS: 435 BUCKLAND ROtI3``` . TAM �:TROY D&TENA M ADDRESS: SO UTH WIN DSO R C'IT':6Gb74.. O CI�: V R OD CLE I�tT"5..` :TH WIND: SOR CT 06074 PHONE 860 64- - .r :€�:. ...81 1 95 wyko. �f�zsr WORK DE SCRIPTION:CRIPT ION: DRI V APPLICANT AGREES TO FURNISH THE TO. h S( ' .,... 1I . '3TR:SC?R > TvIG331 T C3?::BVD REQUIRED AND TO REIMBURSE z. :. Q THE TOWN OF SOUTH WINDSOR FOR ANYFPE7SI S'# ?CUI 'IEW1 :>FQIZ MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE AP. LICAIT IPu11ARTII 't1p'�VI L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF S6U;fH '11�S-W SpSTRUET T I PE IT MANUAL. o 17 ". ISSUED BY DATE INSPECTED INSPECTED BY 5/2/200811:25AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: S OODs-7 CONTRACTOR: _S VYI LOCATION: Ar 1i 00 d TYPE OF WORK: U`@(,t�r DATE INSP NEEDED: DATE INSP: 2I 2 INSPECTED BY: d3� WORK IN PROGRESS: a AS-BUILT: INPUT:_ DATE: ' O W/2007 Town of South Windsor INPSECTION REPORT 07 APPLICATION FOR STREET EX�A1/ATION PERMIT ` ' 1. TOWN'QF SOUTH V 1.0D0 R Permit No PUBLIC WORKS DEPARTMENT, TOINIV HALL 1540 SULLIVAN AVENUE ' & PISOUTH WINDSOR,CT 06074 F , y BuC ldand 'FEE $- -10 { Road E South tNIndsor.; � Oa7¢ XT Y G > Name of Firmf =� r Phone<No 2 Address of Firm % Location of proposed work iIl - `" n` � t . _ � € '- := uz Describe fully nature of permit.requested ; �:. Starting date Q Approx time for completion ,_-.��mt,1.-'1'�-­�I,,.I--,,-�",--1,,,,I��I--,',�1.��-'"-''_1 I,�:r1­,-II:�:-1;��I-_,.�.'"-:­I:-_�:_,..-���'-.I"­��I,::-...II�­I-4.--,-�'�--_�-.:�,'1'_--'�.:.,-__-;'".-"�"_I,--I-,;.�,I�;'-�---'�­'.,:-'.'_-.�­,­-_,,:'-I._�_-"'-,,'-I��-�_,,1.;'­-,-,,;-'-�,1-_-_:.-,�:-­;,',."1�-r--��_1-t"-I-'�._''-,'�f�.�111.,1,.,__-�I',.��-','�,.."0.r"..�-.�,I_-'.-"��­_-"-,,'-­�,"--T_"�.:,_-"-r�'�_''.-��'-.'�I-�'.I;_1�.,�"',-�-'�"_­�:-'7I'I".,,;��---­­_,1�-,,­.A_1,-,_,-,','"­"��,.��.','_�___4%'�-"g",__�-',�'�,_­,- Ca11 Before.You Dig No . ''�� o" Traffic Services Control No Show sketch of proposed work or fumish 7fiis i � two:copies of separate drawing Indcate North sect on'ta be filled out by Town of SouthWindsor F Pa`vemenf Cut r i }. - i1, y 4 3 - v'FW {J - �O �3 4 '6°'f� fi' fl s _ T - ; L \� - _ Est S¢e of Perni Fatch(s) r "�` s Est.Pvt Thickness m p t t .." - y _ T - Y� a, 4�'„i i n va h 'fin, e {; .-� t = EstfUnit Pnce$;" wt s s , a Amt of Deposit$ t y!, 1 A 3 4 ; A{ 5 J' � Y t` 3 Totat Duey$ byL.I )Cash, )Check# Permanent Patch x f No Cuts r a r r Sig of Patch(s) �" Final Bitl�ng i 3 S. k 4T 4 Aunt Due Payee I I I I I,I I I I I I I .II�I I I ".I I I I -II.-I %.,.�r.' �� �I, I.-I..I,I 1. I I I_-'.I 1'�,-,,-,5,III I��"I I�'II,M- ''" J_ - E" I.�.�o�'I-I:-__--'�.I��1-4' Amt Due ;IIwn g. ^ v By Applicant is responsible for contacts the Police De t..and C.B Y D. _ �$ Date z ` 4 :s a - 1 A } ^-s� C,a; fit£' el #€ $ �aa �'�y Is�� t t?r'_ t •a.•�i # c $. a -r 1 AGREE TO FURNiSH'TO THE TOWN OF SOUTy=WINDS:.OR < . AfiNOUNI�OF`BOND•REf ' " = 3 4 ems,-r -„ a4 QUIRED AND TOREf;MBURSI�. t}E TOWN OF SOUTH WIFJDSOR:FORA EXPENSES 11`ICU R D Bt {`. #.O 'FOR`AilAIN7 E t ` �,. , � . -� �� ,.tNAhICE 012 REPAIR W©�Z1<CONNECTION::"WITHTttS PERMITANOTHAT(AA �AMtL�A�R IVITH ps ,.f f 4 N ILLABIOE BY THE° LES/ANO REGULATIONS FOR{ rr P.ERMITS AS OUTLINE. TAE TO N OF,SQUTWW�NDStJi ' `SiREECU�PEftNltTliifAf�IUAL �� .: i �* fc ` - r., { y �+, .• k� c,>,y�.� Signed: Dat`e _ t� {t 3 "{ Title: .S ,y `r ; Dn�er`s License# PERM1T SH BE KEPT ON JOBSITE AT ALL TIMES .'. ff _ r 1. ,.. -.a _ -. . ..-... ..r. -5 - r.. .as.Y't5 J._.. ' xv H� 3,:: T +�A3 c+...i, .5. ."iti.y .5 `.x w '4: i.Si"crlk 'Z .._.....t:l 435 Buckland Road 6 Springside Avenue So. Windsor, CT 06074 Danbury, CT 06810 Ph: (860) 648-1915 Ph: (203) 790-9727 Fax: (860) 648-4602 pad�aC� Q Fax: (203) 794-9172 L 60 3Z,